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Crestwood Behavioral Health


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The Power of Meaningful Roles

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Crestwood Behavioral Health’s whole person approach to healing, wellness, recovery and resiliency includes a focus on enhancing or developing a meaningful role in one’s daily life. As psychiatrist and Holocaust survivor, Viktor Frankl, observed, “Life is never made unbearable by circumstances, but only by lack of meaning and purpose.” Research in positive psychology has found that a meaningful role can lead to a positive attitude, increased happiness, sense of belonging, sense of purpose, increased self-worth and promotes self-accountability.

At Crestwood we embrace the need for meaningful roles and it is one of our four Pillars of Recovery that also includes Hope, Empowerment, and Spirituality. It is defined as positive identities within the places we live, learn, work and socialize, which creates a sense of purpose and value. Crestwood’s healing and resiliency-building campuses promote this in many ways. The people we serve contribute daily to our campuses, including co-creating schedules of activities, participating in the functions of the day and educating staff, either through co-presenting at staff education meetings or participating in change of shifts.

Meaningful roles also come from those we are in a relationship with. Our clients are recognized and valued for their relationships as a roommate, parent, child and community member. As a community member, our clients contribute in positive ways such as volunteering at local homeless shelters or animal rescue groups. Clients often also take on the role of teacher or mentor as they come together to support their fellow residents in their healing. Our Crestwood campuses also provide opportunities for meaningful roles through shared group activities such as art shows and sporting events like the Crestwood Olympics, where more than seven campuses get together for fun and friendly competition.

At Crestwood, opportunities for meaningful roles for our clients do not stop at their discharge. Clients are supported in their recovery and wellness journey by being given the chance to come back and contribute through sharing their personal experiences of recovery at our campuses, volunteering in our communities or continuing with a job they achieved through Dreamcatchers Empowerment Network. Patty Blum, Crestwood Executive Vice President, says, “Supporting and encouraging meaningful roles at our campuses helps to provide our clients with a connection to their values, ethics and higher selves. All of these responsibilities -great or small- give their daily existence purpose, and as such, become their meaningful roles.”

Contributed by:
Cindy Mataraso, Director of Operations
Crestwood Sacramento Home Office


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Lacing up their shoes for Health and Wellness

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“A journey of a thousand miles begins with a single step.”- Confucius

At Crestwood Chula Vista, they offer several types of fitness and movement activities for their clients, from Yoga to Zumba, to strength training, to dodgeball and kickball. Unfortunately, they found that only a small percentage of their clients were participating in these activities and at the same time were also still struggling with their desire to be healthy and to maintain their weight. “I’m too overweight to exercise” and “I don’t have the energy to work out” were common explanations as to why they were not participating in activities. This presented the staff with a challenge. They asked themselves what activity can just about anyone do, what activity will they want to do and what would be something that would also benefit both their physical and emotional health? The answer was right in front of them. Every client was doing it every day – walking!

It was right about this time that the City of San Diego advertised the Parks Fit San Diego 2016 Challenge, which is to walk 30 miles in 60 days. Clients and staff were excited to become involved in the 30-mile challenge and it was a way for them to celebrate every step they would take. But as their clients thought about it, they decided that 30 miles in sixty days was not enough and they would instead do 30 miles in 30 days. So the staff purchased pedometers for everyone participating and off they went.

The challenge began on June 18th with a 1-Mile Fun Run.  After that, they went on walks in the community, took nature hikes, and joined 5k events. Each and every day, clients could be seen walking the halls and the patio at the facility with pedometers in hand. They pounded the pavement in their neighborhood, trampled the grass at Balboa Park, explored the trails of the Living Coast Discovery Center, and even kicked up some sand at Imperial Beach. The results of the challenge were tremendous! One of their clients walked 215 miles! She reported her miles to the staff proudly every morning. One day she joked, “I didn’t do so well yesterday, I only went 20 miles.” Other clients were motivated to keep up and the race was on!  Four clients logged more than four hundred miles and together, as a group, they walked more than 500 miles!

“Beyond the miles they racked up, we were seeing firsthand what we have all read in the research studies, that walking and exercise promotes good health, reduces anxiety, increases self-esteem, and boosts mood,” said Shanel Stec, Recreation Assistant.  Clients also made healthier food choices. One client lost 20 pounds and another client lost three pounds.  They set goals for themselves and tracked their progress faithfully. They worked together as a team, challenging each other to keep up and they joined other groups. They were out in the community, they were out in nature, and best of all, they were having fun.

The challenge ended on August 13th with the Parks Fit San Diego 5k finale. However, this finale is not the end for them walking, even more clients and staff have signed up for a new challenge that begins soon.  Shanel said, “We are excited to lace up our shoes and walk together, not as clients and staff, but as companions on our journey toward health and wellness.”

Contributed by:
Shanel Stec
Recreation Assistant
Crestwood Chula Vista


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Health Crisis

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How many times do we have to see our clients, friends and coworkers receive a diagnosis of breast cancer, chronic obstructive pulmonary disease (COPD) or coronary disease at an early age? How many times do we see these same people pass away from “natural causes” in their 30s, 40s and 50s, while we see the average life span of people grow from 51 years in 1910 to 78 years in 2010?

The sad fact is that for those among us living with a mental health diagnosis, the average life expectancy is conservatively 10 years less than those who don’t have that challenge and it also accounts for 8 million deaths worldwide annually.  NAMI and other research suggest that the life expectancy gap is actually 14 to 31 years shorter for those with a mental health issue.  The mortality rate for people with schizophrenia is four times higher than those without this diagnosis and those with a bipolar disorder have a 13 year decreased life expectancy. This is a reflection of our broken system and communities in need of healing and compassion.

Much of this early mortality is attributed to “natural causes” such as heart disease, pulmonary diseases, cancer, cerebrovascular, respiratory, and lung diseases. Elizabeth Walker, a researcher at the Emory University Rollins School of Public Health in Atlanta, writes, “People with mental health disorders have a high prevalence of chronic medical conditions, with fewer resources to manage these conditions. People with mental health challenges are dying prematurely and at a rate far exceeding their peers without this diagnosis.”

How many people that we love and care for have to die before their time and how many times do we have to plan services and mourn their passing? This disturbing health crisis is often overlooked. According to the National Institutes of Health (NIH), life expectancy has increased dramatically, unfortunately, “reductions in mortality are not shared equally in this country across racial, ethnic, and socio-economic groups or health-related conditions.”

So what can be done to start to change this shocking reality?

The first change that is needed is how we deliver services as a society. We need to be honest about the disparities in our culture. Services may be accessible with wheelchair ramps and Braille signage, however, there is no tolerance for people who are disheveled, responding to voices, have ticks, look different or have unpredictable behavior.  This intolerance creates barriers so preventive healthcare, such as routine checkups, mammograms, and teeth cleaning, is out of reach.  These disparities have led to women with mental health issues dying from cancer at twice the rate as the general population, and these women are also three times more likely to die from breast cancer.   Researchers, Colton and Manderscheid, found that the secondary consequences of mental illness are poverty, unemployment, poor housing, stigma, and low self-esteem leading to challenges accessing healthcare, including health professionals’ misdiagnosis, less focus on physical health, low compliance with health screening and treatment, and poor communication.  This has to stop! We have to create pathways to accessibility, prevention and care.  We need to train more primary healthcare providers to work with people with mental health challenges, which is something Crestwood Behavioral Health has been providing to our county stakeholders.  We need to design clinics, waiting rooms and services that are more accepting and inclusive of all marginalized populations. We need to develop more welcoming and validating preventive health screenings and utilization of services.

The second thing we need to do in our communities is the creation of Federally Qualified Health Clinic Clubhouses that welcome those with mental health challenges, the homeless, the disenfranchised and their families.  A Clubhouse is first and foremost a local community center that offers people who have mental health challenges the hope and opportunities to achieve their full potential.  During the course of their participation in a Clubhouse, members gain access to opportunities to rejoin the world of friendships, family, employment and education, and to the services and support they may individually need to continue their recovery. A Clubhouse also provides important routine health screenings that are completed in a client-friendly space, rather than in a hospital or sterile clinic setting. Crestwood is currently looking to explore creating a Clubhouse program in San Diego.  Also, a mobile whole health services unit, a companion to the Clubhouse, is needed to bring health screenings and health services to the homeless where they are, whether it is under a bridge, in a shelter or at a wellness center.

The next action that needs to be taken is to launch a statewide Wellness and Resiliency Initiative similar to the one Crestwood has adopted in all of our programs that includes serving heart-healthy diets and creating client-oriented cookbooks with heart-heathy recipes and shopping guides. It includes planting organic gardens and using the farm to table approach in our meals. It is bringing Zumba and Yoga to every campus and community.  It is having exercise tracks in yards that used to be used for smoke breaks. At Crestwood we support smoking cessation, sobriety and meaningful roles to help replace addiction and isolation. Crestwood also teaches meditation and mindfulness to our clients which lowers heart rate, reduces risk of heart disease and increases pulmonary capacity.

Another action we can take is to live healthier lives as healthcare providers. At Crestwood we use Wellness Recovery Action Plan (WRAP) to support our workforce, with staff being paid for time off the floor to attend WRAP groups. We provide mental health days, as well as sick days and expect our staff to do routine health screenings – modeling wellness. We employ meditation and mindfulness practices at all staff meetings and events to encourage our staff to practice mindfulness as a health and wellness practice.

At Crestwood we will continue to do our part by looking for and incorporating innovative health and wellness measures into our programs.  We can truly practice self-care each day, creating a compassionate community of people caring for themselves and others. This may not move the needle on the mortality rate very quickly; however, it is a promising start that we hope will begin to create healthier, longer lives for our clients, friends and coworkers.

Contributed by:
Patty Blum, PhD
Crestwood Vice President


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The Healing Power of Drumming

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Drumming has been a tool used in many cultures for many things, from communication, holistic rituals, community gatherings, and healing.  People have had an intimate connection with the drum since discovering that the beat of the drum is analogous to the beat of the human heart.  As a universal, vibrational language, the drumbeat communes with the Earth and all of her creatures.

There have been numerous research studies conducted about the power of drumming and the significant effects it can have on the human spirit and body.  Drumming is now being used to help people with Alzheimer’s, children with autism, and teens with emotional dysregulation.  Large corporations have also used drumming to help employees focus attention and improve spirits.

Research further suggests that drumming can serve as a distraction from pain and grief by enabling communication between the cerebral hemispheres, using the physical transmission of rhythmic energy.  This allows one to connect with their own spirit at a deeper, more intimate level, making it easier to access feelings of insight, understanding, certainty, conviction and truth.

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Drum circles provide an opportunity to connect with groups of like-minded people, including those struggling to find their own personal resonance.  Individuals may make this connection by listening and feeling the pulse of the drum, and working out their own personal rhythm in contribution.

Sound vibrations have been known to resonate through every cell in the body, freeing energy blockages that can form as a result of unexpressed feelings and emotions.  Drumming helps emphasize self-expression, which can aid in an individual’s ability to address emotional health and issues with conflict and even violence.  Participants are given the opportunity to present and receive positive feedback.  It can help us find our center and become more mindful of the present.  Playing in a drum circle can create a magical paradox of moving from the awareness of being out of one’s body to being firmly grounded in the moment.  Group drumming can complement traditional talk therapy, providing a vehicle for personal transformation, as well as community building.

Pam Akins, LMFT, a Clinical Consultant at Crestwood American River Psychiatric Health Facility, said, “Witnessing the responses of our clients to participation in a drum circle has been a personal growth experience for me.  As a clinician, I have had to give up control of the circle and allow the drummers to take what was needed and give as they were able to.  The main attraction is the drum, center of the circle and the heart of healing.  In the PHF setting, some clients are active participants, while others may be observers, but it is evident that some type of shift occurs with everyone involved, even if only momentarily.”

“The most common initial response is that the client does not know how to play a drum or keep a rhythm, but, once an attempt is made, I can see the client respond to the beat that they create, and start to become increasingly more confident.  Instruments are eagerly shared and exchanged.  The circle creates unity and a sense of community among the participants.  Playing along and sharing their hearts, helps the group become centered and calm,” explained Pam.

The experience of conducting a drum circle at a PHF, with clients who are struggling with finding wholeness, has shown Pam and the staff the powerful, amazing and positive effect that beating on a hollowed wooden circle, covered by a tightly stretched membrane, can have.

Contributed by:
Pam Akins, LMFT, Clinical Consultant, Crestwood American River PHF
and
Nancy Soncrant, Campus Administrator, Crestwood American River


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Zumba’s Spark is Energizing Crestwood

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One of the biggest challenges for both our clients and staff is finding the time and motivation to get adequate exercise. Greg Parnell, the Director of Education and Assistant Program Director at Crestwood Behavioral Health Center Eureka’s campus, has been a licensed Zumba instructor for five years now, and to say he is passionate about Zumba, would be an enormous understatement. He teaches Zumba classes not only for the clients in the Eureka facility, but also in the community at recreation centers and schools.

Zumba was started in the 1990s blending aerobic exercise with infectious Latin dance music. It is now a worldwide phenomenon being done in 180 countries, with more than 15 million students taking classes. What Greg and many others that participate in Zumba have found is that it is an activity that sparks something deep inside your spirit. That spark energizes you, changes your mood, and changes your outlook on life. Not only does Zumba bring about physical changes in you, it brings about mental and spiritual changes as well. Zumba can be a spark that starts with a simple routine of fun exercise, which then progresses into wanting to eat better, feel better, present one’s self better, and be more active in the world.

Crestwood has added Zumba to our Mind, Body, and Spirit Initiative. To get Zumba started in our facilities, Greg, along with Margaret McDonald, Administrator at Crestwood Center at Napa Valley and Crestwood’s Director of Nutritional and Wellness Services, wrote a proposal for a Crestwood Zumba Program that has several components and was geared toward both clients and staff. Their first goal was to get one or two staff members at each facility to be trained as Zumba instructors. These staff members can then teach 3 to 5 classes a week for clients and staff at their facilities. The second component was the purchase of Zumba DVDs that could be used to do additional Zumba classes or while trained staff is away. And the third part was to reach out to local Zumba instructors and develop a mutually beneficial relationship with them, in which they would volunteer their time to do Zumba at our facilities, in exchange for directing staff toward their classes in the community. Greg, as Crestwood’s in-house Zumba resource, will also travel to the facilities quarterly to reinvigorate the programs and troubleshoot any problems.

At the 2015 annual Zumba Convention that was held in Orlando, Florida, Greg shared Crestwood’s proposal for a Zumba program with Alberto Pearlman, the CEO of Zumba, who then shared it with conference Keynote speaker, actress and singer Ashley Judd, who lives her own recovery story of depression and wellness through Zumba. Ms. Judd and Mr. Pearlman were so fascinated by what Crestwood is doing with Zumba that they both decided they wanted to be involved. Mr. Pearlman graciously offered to train Crestwood staff to become licensed Zumba instructors. In November 2015, 11 Crestwood facilities, (Angwin, American River, Sacramento, Pleasant Hill, San Jose, Fresno, Bakersfield, Vallejo, Solano, San Diego, and Chula Vista) sent nineteen staff members to Cheryl Louie’s Studio Z in Newark, California, where they were trained by Joy Smith, a Zumba Education Specialist, to become licensed Zumba instructors.

Since then, Greg and Margaret have been traveling to our facilities helping our licensed Zumba instructors plan their classes, help with choreography, and incorporate classes into program schedules. “The enthusiasm from staff and clients has been overwhelming, and the support from Administrators has been amazing. It is inspiring to see how many of our clients really get into the classes, the music, the movement, and just losing themselves into the rhythms,” said Greg. “There are also stories of amazing transformations of our very quiet and soft-spoken clients who suddenly come alive when the Zumba class starts. They see and feel the energy around them and then want to join in.” And then there are also staff members, who after just one of Greg’s Zumba visits, are then inspired to want to do more, learn more, and become Zumba instructors themselves.

Greg and Margaret hope to measure the success of the program and the influence of Zumba on our clients and staff in several ways. They have developed a pre-survey to be used before Zumba is offered in the facility and a post-survey after Zumba has been added to the program schedule. These surveys will assess the number of days clients exercise, reported enjoyment of exercise, and reported barriers to exercise, such as feeling self-conscious or not enjoying exercise.

When the Zumba program is fully up and running in our Mental Health Rehabilitation Centers, Psychiatric Health Facilities, Adult Residential Facilities, and Social Rehabilitation facilities, they intend to bring Zumba Gold to our Skilled Nursing Facilities. Zumba Gold is a specialized form of Zumba for older adults. “We believe all of our clients and staff, no matter what age or ability level, will benefit physically, emotionally, and spiritually from participating in such an accessible and inspiring form of exercise,” said Margaret. “We also would love to eventually have clients be trained to become Zumba instructors, giving them meaningful roles in the facilities and the potential for employment once they are back in their communities.”

Zumba truly provides that amazing spark to energize the mind, body and spirit of those who experience and embrace it in their lives.

Contributed by:
Margaret M. McDonald, M.S.
Director of Nutrition and Wellness Services
and
Robert Pitts, Campus Administrator
Crestwood Behavioral Health Center Eureka


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Supporting Recovery with WRAP

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At Crestwood Bakersfield, Wellness Recovery Action Plan (WRAP) is an important part of the healing and recovery process for their clients. Their motto and goal is to stay well by playing and focusing on their key recovery concepts, which include hope, personal responsibility, education, self-advocacy and support.  WRAP is used to learn to uncover each person’s own wellness tools and put them into action on a daily basis. Many of the WRAP activities they have incorporated into their classes are team building activities, which help others learn how to work as a team, increase problem solving skills and improve communication.

“Our goal is to incorporate more fun, interactive and competitive activities into our WRAP trainings.  Just recently I developed a WRAP Trivia/Crestwood Family Feud game which has been helpful in understanding why WRAP is such a vital part of our lives,” said Linda Johnson, Director of Recreation Therapy.

Another creative way Crestwood Bakersfield is presenting WRAP in their programs is by having individuals team up into pairs, with the assignment to create and design a WRAP community in which people would enjoy living.  This exercise is not only a lot of fun for the clients, but it also brings communication, group understanding and decision making skills in to play.

“Since so many of us enjoy being in a peaceful setting, we have also incorporated a beach theme into our WRAP classes this summer, with ocean sounds, beach sand, sea shells, candles, lounge chairs and many other soothing items which seem to help ease the pressure of daily life,” explained Linda.

Crestwood Bakersfield continues to find wonderful ways to support clients in their recovery through innovative WRAP activities and they love to say, “We are playing. What are you doing to stay well?”

Contributed by:
Linda Johnson
Director of Recreation Therapy
Crestwood Bakersfield


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Celebrating Wellness

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Crestwood Treatment Center’s Dream Team Celebrating Wellness

“Health is wellness, health is power,” declared a resident at Crestwood Treatment Center in Fremont.  This powerful statement came as a result of the facility’s first Wellness Fair that was held on March 18, 2015.  In preparation for the Wellness Fair, a few small groups of residents known as the “Dream Team” spent three months exploring with staff members different wellness topics related to stress management, both through research and experiential activities.  These small groups met once a week to investigate each wellness topic and prepare a related presentation.  After three months of creative collaboration, they selected the topics of Aromatherapy, Exercise, Music Appreciation, Guided Imagery, and Assertive Communication to feature at their Wellness Fair.

The Dream Team residents then prepared and distributed invitations to facility residents and staff, and announcement banners were hung throughout the facility.  The conference room and adjoining outdoor Zen Garden were transformed into a presentation hall, with five separate stations, one for each wellness topic.  The Wellness Fair kicked off on a beautiful day with the Zen Garden fountain bubbling and relaxing music playing.  Seats were available in the garden for attendees to reflect quietly and/or relax together.  Residents and staff were invited to make their way throughout the fair, stopping at each booth to connect with their Dream Team hosts.  Pairs of Dream Team members handed out informational packets and discussed their topic of wellness with participants, and invited them to join them in their wellness activity.  One resident remarked, “I was able to get a lot of information proving that music really does relieve stress.  It is my favorite way to take the stress away.  Music even relieves stress during dental procedures!”  Refreshments were also served and participants were invited to share hummus, cucumber toast, a fresh fruit salad, and lemon mint water as they further relaxed in the Zen Garden.

The education, exchange of wellness information and the entire experience was very empowering for Dream Team members and well received by all who participated.  “The Wellness Fair was a complete success.  It was so much fun and informative for everyone.  Participating residents were very enthusiastic and knowledgeable about their respective topics.  They were able to communicate and explain the importance on how to live a healthy lifestyle.  The visitors who attended the Fair were all impressed with the way the booths were set up and organized by staff and residents,” said Luis de Vera, Assistant Director of Nursing

The facility is still buzzing about the Wellness Fair and Dream Team members are eager to start preparing for next year’s event. They have big plans to expand the fair and possibly invite other Crestwood facilities to share in the experience.

Lillian Fong, Program Administrator, remarked, “I am so impressed with our residents’ enthusiasm and “can do” attitude. Their confidence was evident that day for all to see.”

Contributed by:

Karen Scott, OTR/L
Occupational Therapist
Crestwood Treatment Center